Detro, John Fitzgerald
Detro, John Fitzgerald is an individual health care provider with primary practice located at 7950 Martin Loop Martin Army Community Hospital, Fort Benning GA 31905-5647. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Detro, John Fitzgerald can be contacted via phone (706) 545-3958.Contact Information
Primary practice address
7950 Martin Loop Martin Army Community Hospital
Fort Benning GA 31905-5647
Phone: (706) 545-3958
Fax: (706) 545-5762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1548343841 |
|---|---|
| LBN Legal business name | Detro, John Fitzgerald |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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